Provider First Line Business Practice Location Address:
11709 OLD BALLAS ROAD STE 205
Provider Second Line Business Practice Location Address:
AMATO PHYSCIAL THERAPY
Provider Business Practice Location Address City Name:
ST LOUIS
Provider Business Practice Location Address State Name:
MO
Provider Business Practice Location Address Postal Code:
63141-7076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
314-991-0483
Provider Business Practice Location Address Fax Number:
314-991-0487
Provider Enumeration Date:
09/12/2011